New TB drug could cut treatment time by two months
NCT ID NCT07209761
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a new drug called quabodepistat can shorten treatment for drug-resistant tuberculosis (TB) from 6 months to 4 months. About 532 adults and teens with rifampicin-resistant or multidrug-resistant TB will be randomly assigned to receive either the new shorter regimen or the standard 6-month treatment. The goal is to see if the shorter treatment works just as well and has fewer side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 532 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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14 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥14 years 2. Body weight ≥30.0 kg 3. Able to provide written informed consent (if under 18, requires both participant assent and parent/guardian consent) 4. Documented pulmonary TB: Mtb confirmed by Xpert MTB/RIF Ultra (semi-quantitative result of 'low', 'medium', or 'high') 5. Rifampicin resistance confirmed by Xpert MTB/RIF Ultra test 6. Chest radiograph consistent with active TB disease 7. Able to provide sputum sample 8. Participants of childbearing potential must use 2 different approved birth control methods during treatment and for 12 weeks after last dose 9. Willing to have HIV test (unless previous positive result confirmed) 10. For HIV-positive participants: On stable antiretroviral regimen (dolutegravir, lamivudine/emtricitabine, tenofovir) for ≥3 months, Viral load \<200 copies/mL, and CD4 count \>100 cells/mL Exclusion Criteria: 1. Known/suspected resistance to BDQ, PMD, LZD, or QBS 2. Prior treatment with BDQ, PMD, LZD, DLM, QBS, or DprE1 inhibitors for ≥1 month within past 3 months 3. Severe extrapulmonary TB 4. Abnormal laboratory values: ALT/AST \>2.5×ULN, Total bilirubin \>1.5×ULN, eGFR \<60 mL/min/1.73m², Hemoglobin \<8 g/dL, Platelets \<100,000 cells/mm³, WBC \<2.0×10⁹/L, ANC \<1000 cells/μL, and HbA1c \>9.0% 5. Pre-existing peripheral neuropathy (≥Grade 1), optic neuritis, or visual impairment 6. Co-enrollment in other therapeutic trials 7. QTcF \>450 msec (males) or \>470 msec (females) 8. Clinically significant cardiovascular disorders 9. Bleeding disorders 10. Conditions interfering with X-ray or sputum assessment 11. Drug allergies/hypersensitivity to study medications 12. Pregnancy or breastfeeding 13. Positive drug screen (case-by-case assessment for some substances) 14. Serious mental disorders 15. Karnofsky score \<60 16. BMI \<16.0 kg/m² 17. Significant comorbidities (metabolic, renal, gastrointestinal, neurological, psychiatric, endocrine, liver) 18. Pulmonary conditions other than TB (silicosis, fibrosis) 19. Active SARS-CoV-2 infection 20. Use of prohibited medications 21. Blood/plasma donation within 30 days 22. Current use of herbal remedies or traditional medicines
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
35 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Asan Medical Center - Pulmonology
NOT_YET_RECRUITINGSeoul, Seoul Teugbyeolsi, 05505, South Korea
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Brooklyn Chest Hospital
NOT_YET_RECRUITINGBelville, Western Cape, 7405, South Africa
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Capital Medical University - Beijing Chest Hospital
RECRUITINGBeijing, Beijing Municipality, 101100, China
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Centre for the AIDS Programme of Research in South Africa (CAPRISA)
RECRUITINGDurban, KwaZulu-Natal, 4013, South Africa
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Centro de Investigación del Hospital de Emergencias de Villa el Salvador
NOT_YET_RECRUITINGVilla El Salvador, Lima region, 15837, Peru
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Clinical HIV Research Unit (CHRU) - Helen Joseph Hospital
RECRUITINGJohannesburg, Gauteng, 2092, South Africa
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Fuzhou Tuberculosis Prevention and Control Hospital of Fujian Province
NOT_YET_RECRUITINGFuzhou, Fujian, 350008, China
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Hospital Sergio E. Bernales
NOT_YET_RECRUITINGLima, 15313, Peru
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Huashan Hospital Fudan University
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, 200040, China
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IMSP Institutul de Ftiziopneumologie Chiril Draganiuc - Phthisiopneumology
RECRUITINGChisinau, Chisinau City, MD-2025, Moldova
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Isango Lethemba TB Res Unit (CHRU) - Jose Pearson TB Hospital
RECRUITINGPort Elizabeth, Eastern Cape, 6003, South Africa
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Japan Anti-Tuberculosis Association Fukujuji Hospital
NOT_YET_RECRUITINGKiyose, Tokyo, 204-8522, Japan
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Jose B. Lingad Memorial Regional Hospital
NOT_YET_RECRUITINGSan Fernando City, Central Luzon (Region III), 2000, Philippines
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Klerksdorp/Tshepong Hospital Complex, Tshepong Hospital, MDR Unit
RECRUITINGKlerksdorp, North West, 2574, South Africa
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Lung Center Of The Philippines
NOT_YET_RECRUITINGQuezon City, National Capital Region, 1100, Philippines
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National Center for Tuberculosis and Lung Disease
RECRUITINGTbilisi, 0101, Georgia
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Perinatal HIV Research Unit (PHRU) - Chris Hani Baragwanath Academic Hospital
NOT_YET_RECRUITINGSoweto, Gauteng, 1835, South Africa
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Public Health Clinical Center of Chengdu
NOT_YET_RECRUITINGChengdu, Sichuan, 610041, China
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Pusan National University Hospital
NOT_YET_RECRUITINGBusan, Pusan-Kwangyokshi, 49241, South Korea
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Setshaba Research Center
NOT_YET_RECRUITINGPretoria, Gauteng, 0152, South Africa
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Shandong Public Health Clinical Center
NOT_YET_RECRUITINGJinan, Shandong, 250102, China
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Shanghai Pulmonary Hospital - Pneumology
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, 200433, China
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Silang Specialist Medical Center
RECRUITINGSilang, Cavite, 4118, Philippines
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Sizwe Clinical Research Site (CHRU) - Sizwe Tropical Disease Hospital,
RECRUITINGJohannesburg, Gauteng, 2131, South Africa
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Socios en Salud Sucursal Peru
NOT_YET_RECRUITINGLa Molina, Lima region, 15012, Peru
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Synergy Biomed Research Institute
RECRUITINGEast London, Eastern Cape, 5241, South Africa
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The Aurum Institute - Rustenburg
NOT_YET_RECRUITINGRustenburg, North West, 0299, South Africa
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The Aurum Institute - Tembisa Hospital Clinical Research Centre
RECRUITINGJohannesburg, Gauteng, 1632, South Africa
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The Catholic University of Korea, Incheon St. Mary's Hospital
NOT_YET_RECRUITINGIncheon, Incheon Metropolitan City, 21431, South Korea
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The Second Hospital of Nanjing
NOT_YET_RECRUITINGNanjing, Jiangsu, 210003, China
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The Third People's Hospital of Shenzhen
NOT_YET_RECRUITINGShenzhen, Guangdong, 518112, China
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Tropical Disease Foundation
RECRUITINGMakati City, National Capital Region, 1772, Philippines
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UCT - Lung Infection and Immunity Unit
NOT_YET_RECRUITINGCape Town, Western Cape, 7700, South Africa
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UCT Lung Institute
RECRUITINGCape Town, Western Cape, 7700, South Africa
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Wuhan Institute of Tuberculosis Control (Wuhan Pulmonary Hospital)
NOT_YET_RECRUITINGWuhan, Hubei, 430032, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can simple sputum and urine tests catch tuberculosis earlier?
- A single swab, two diseases: rapid test takes on TB and COVID-19
- Can HIV status change TB treatment success? a zambian study investigates
- Beyond TB: could a deeper diagnostic look uncover hidden lung diseases?
- Can a new patient cohort unlock the secrets of TB treatment success?
- Shorter TB treatment: a 4-Month regimen put to the test